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Application for Membership
DUES FOR REGULAR & ASSOCIATE MEMBERS
Annual Membership Dues: $25
***If you would like to include your personal information in a directory for all members; please Check here PRIVATE "" MACROBUTTON HTMLDirect ***
(Or if you prefer, Check the box and please CIRCLE what personal Information you would like published i/e; Name, Email and phone number only.)
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______/______/__________ _______________________________________Date of application email address_____/______/___________ (______)____________ (_____)_______________ date of birthphone work or cell phone__________________________________________________________________last name first middle initial__________________________________________________________________street address__________________________________________________________________city state zipMilitary Service from ________/________/________ to _______/________/__________
Branch of Service _______________________________________
DD Form 214 verified: Initials/Date______/_______ | Initials/Date _____/_____**TO ESTABLISH ELIGIBILITY FOR MEMBERSHIP, YOU MUST SUBMIT/PRESENT A COPY OF YOUR DD-214 OR EQUIVALENT DISCHARGE PAPERS WITH THIS APPLICATION**
YOU MAY BLACK OUT YOUR SOCIAL SECURITY NUMBER FOR SECURITY PURPOSES.
DOCUMENTS WILL BE SHREDDED UPON VERIFICATION
**THIS DOES NOT APPLY TO ASSOCIATE MEMBERSHIP APPLICATIONS**
______My check or money order for annual dues is enclosed.
MAIL PAYMENT, COPY OF DD-214, & APPLICATION FORM TO:
Women Veterans of America
National
PO Box 330368
Nashville, TN 37203
Revised 12 Feb 2017
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